خیر یہوروی
افسوس ہے کہ گذشتہ دو مہینوں کے اندر اردو کے پرانے خدمت گذار خیر یہوروی اور نامور شاعر تسکین قریشی مرحوم کا انتقال کیا، خیر صاحب کی زندگی کا بڑا حصہ اردو کی خدمت میں گذرا، وہ برسوں انجمن ترقی اردو ہند سے وابستہ رہے، مولوی عبدالحق صاحب اور قاضی عبدالغفار صاحب مرحوم کے زمانہ میں ان کی حیثیت اسسٹنٹ سکریٹری کی تھی، وہ محض انجمن کے تنخواہ دار ملازم نہ تھے، بلکہ ان میں اردو کی خدمت کی لگن تھی، جس سے انجمن کے کاموں کو بڑا فائدہ پہنچا، ان کی کوشش سے بعض مقامات پر اردو کانفرنسیں بھی ہوئیں، صاحبِ قلم بھی تھے، اور کبھی کبھی ادبی مضامین لکھتے تھے، انجمن سے الگ ہونے کے بعد لکھنؤ میں میر اکیڈمی اور غالب اکیڈمی قائم کیں، جن سے حدیث میر اور مرقع غالب شائع کیں، باہر کے جو ادیب لکھنؤ آتے تھے، ان کو اکیڈمی میں مدعو کرتے تھے، اور بڑے شوق سے اس کے کاموں کو دکھلاتے تھے، ان کو جس پہلو سے بھی اردو کی خدمت کا موقع ملتا تھا، اس سے فائدہ اٹھاتے، اور انہوں نے اپنی بساط سے زیادہ اردو کی خدمت انجام دی، طبعاً بھی خلیق و شریف تھے، اﷲ تعالیٰ اس شیدائے اردو کی مغفرت فرمائے۔ (شاہ معین الدین ندوی، اگست ۱۹۷۱ء)
Hydro politics is the modern term for water issues. Every country wishes to protect its sweet water resources, especially those that have difficulties with rivers that run through more than one country. Water is required for the survival of over 180 species. This study is center on the importance of water to all living things, including humans, as well as to countries and their economies. The conflicts and treaties are also covered in the area of study on hydro-politics on the river Jhelum between India and Pakistan. Both countries have fought wars over water more than once, and if the water distribution issue can handle peacefully then their relationship may improve. The Jhelum River began in the disputed area of Jammu and Kashmir and flows through Pakistan and meets the Indus River. The distribution of Jhelum water was settled by the Indus Water Treaty in 1960, but India's repeated breaches made it a problem between the two neighboring states and one of the reasons for conflict between them. The research's main goal is to not only examine the causes of conflict but also to predict how it will be resolved in the future.
Background: Breast cancer is an emerging health concern in Africa. It is the most common female cancer in Kenya. The accuracy of the diagnostic modalities in our institution has not been previously assessed, especially in cases where components of the Triple Test (TT) are non-concordant.
Objectives: To retrospectively evaluate the accuracy of TT, its components and its modification; the Triple Test Score when the components are nonconcordant at Aga Khan University Hospital, Nairobi.
Methods: Using ICD9 611.72 we identified patients with breast lump or mass in the period between January 2000 and July 2007. One hundred and thirty nine patients who had all the three components of TT with a complete histology report were recruited. Negative results for each component (Clinical Breast Examination, Mammography, and Fine Needle Aspiration Cytology) were awarded a score of 1 and positive results, each scored 2, 3 and 5 for CBE, mammogram and FNAC respectively.
Results: Eighty three patients had non-concordant results. Forty two out of the 56 remaining were concordant for malignancy and 14 were concordant for benign disease. The sensitivities and specificities for the components were 83% & 72%, 53% & 72% and 88% & 75% for CBE, mammography and FNAC respectively. TT had sensitivity of 95.2% and specificity of 100%. A score of 8-10 (n=92) accurately predicted malignancy 94.4% of the time (Positive Predictive Value). A score of 5-7 (n=28) was only 64.3% accurate in predicting malignancy (Positive Predictive value). A score of 3-4 (n=19) predicted benign disease accurately 89.5% of the time (Negative Predictive Value).
Conclusion: TT and its modification, the TTS can guide evaluation and management of palpable breast masses in AKUH. A TT result merits further evaluation with a tru-cut biopsy. A prospective study that validates the concept and further improves the results will be appropriate.